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DR. JOHN THOMAS BLACK JR. D.M.D.
NPI 1376632943
Dentist - General Practice in Pontotoc, MS

Active since October 12, 2006PECOS Enrolled
209 S MAIN ST, PONTOTOC, MS 38863(662) 489-7768(877) 698-4592 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. John Thomas Black Jr. D.m.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOHN THOMAS BLACK JR. D.M.D. (NPI 1376632943) is an individual general practice provider in Pontotoc, Mississippi, licensed in Mississippi (2066-84) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376632943
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JOHN THOMAS BLACK JR.Credential: D.M.D.
Location Address209 S MAIN STPontotoc, MS 38863-3319
Mailing AddressPo Box 539, 209 S Main StPontotoc, MS 38863-0539 · (662) 489-7768 · Fax (877) 698-4592
Phone(662) 489-7768
Fax(877) 698-4592
Sole ProprietorNo
Enumeration DateOctober 12, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1376632943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MS · 2066-84
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

209 S MAIN ST, Pontotoc, MS 38863
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. John Thomas Black Jr. D.m.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38863 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$64.96 typical visit price
range $16.15 – $129.61
Typical copayment $16.24 (range $4.03 – $32.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOUTH MAIN DENTAL CLINIC, LLC
Dentist (General Practice)
209 S MAIN ST
PONTOTOC, MS 38863
Pontotoc County (662) 489-7768
DR. MATTHEW CARTER CLAYTON DMD
Dentist (General Practice)
209 S MAIN ST
PONTOTOC, MS 38863
Pontotoc County (662) 586-2311
CLAYTON FAMILY DENTISTRY, PLLC
Dentist (General Practice)
209 S MAIN ST
PONTOTOC, MS 38863
Pontotoc County (662) 586-2311
DR. ANNA GRACE CLAYTON DMD
Dentist (General Practice)
209 S MAIN ST
PONTOTOC, MS 38863
Pontotoc County (662) 586-2311

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Black's NPI number?

The NPI number for John Black is 1376632943. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Where is John Black located?

John Black practices at 209 S Main St, Pontotoc, MS 38863. The listed phone number is (662) 489-7768.

What is John Black's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is John Black enrolled in Medicare?

Yes. John Black is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for John Black was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.